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"Factors Associated with Overcrowding and Prolonged Length of Stay in Emergency Department: A 3-Year Analysis of a University Hospital"

, , , and . Emergency Medicine Investigations, 8 (01): 1-5 (April 2019)

Abstract

Objective: To determine factors associated with overcrowding in the Emergency Department (ED) and make suggestions in the light of current data. Material and Methods: In a 3-year period, the number of patients admitted to our ED, number of forensic examination cases, number of patients who died, waiting times and Length of Stay (LOS) in the ED, consultation arrival times, length of laboratory result times, number of patients followed up in ED observation room and hospitalized to a ward were recorded. Findings were compared according to years. Results: Number of patients admitted to the ED did not significantly differ among years. LOS in the ED and the number of patients followed-up in the ED observation room increased significantly when compared according to years. Number of consultations also tended to increase. Even though the number of patients admitted to the red zone increases, when compared to 2016, mortality rate was significantly lower in 2017 and 2018. Conclusion: Rapid transfer of patients from ED to wards when indicated, education of staff in order to reduce number of consultations and guidance of non-urgent patients to Family Physicians System may reduce overcrowding in EDs.

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